BURHAN
BURHAN
BURHAN
Please Enter RPS 2020 (2) months arrears and Jul, 21 to Dec, 21 Arr
2 Months (Apr,21 & May,21) RPS,20 Arrears 1 Equated Monthly Total months
0
encashed Instalment Amount received/ bill Passe
Jul,21 to Dec,21 DA Arrears 90% amount for CPS 1 Equated Monthly Total months
0
Employees Instalment Amount received/ bill Passe
16
16
IF any Arrears Received during the FY 2022-23
If Arrears any of FY 2021-22 Pay 0 DA 0 HRA 0 CCA
If Arrears any of FY 2020-21 Pay 0 DA 0 HRA 0 CCA
If Arrears any of FY 2019-20 Pay 0 DA 0 HRA 0 CCA
Which Regim you want to pay Tax (Old Regim or New Regim)
17
(In "Old Regim" 1,50,000 Savings, deductions are eligible to deduct but not in "New Regim"
18 Are You CPS employee Yes We demand Scrap the CPS and restore OPS
19 PF deduction 200 Any Change, Month & Amount
20 TSGLI dedctn 1,700 Any Change, Month & Amount
21 GIS Deduction 30 Any Change, Month & Amount
22 Savings other than salary deduction U/s 80C
Tuition Fee - LIC Annual Premiums Paid by Hand
5Years Fixed Deposits - Investment in Sukanya Samridhi
National Savings Certificate - Public Provident Fund
PLI Annual Insurance Plan - Others ( SBI Life Insurance
23 Are you taken Home Loan if yes in which Financial Year?
Expecting Home Loan paid in FY 2022-23 Principle Amount
1. Stamp duty value of the house property should be Rs 45 lakhs or less?. 2. Carpet area should
not exceed 90 square meter (968 sq ft)?. 3. no other house property must be owned by you?
24 Living in Rented House To get HRA excemption your rent will be Rs.
Medical Insurance Premium paid for self, spouse, children U/s 80D
25 80 D Medical Insurance Senior for Citizen Parents Medical Insurance U/s 80D
Payment made for preventive health check up U/s 80D (upto Rs.5,000/-)
26 Interest Paid on Education Loan U/s 80E
27 Is any Disable Depenent? U/s 80DD
Are invested in NPS for Additional Benefit U/s 80CCD1(B)
28
Other than CPS employees only (CPS Employees no need to enter here)
Advance Tax deducted in the Salary or Paid by hand
29 March April May June July Aug Sept Oct Nov
Click here for Annex - I Annex - II Form 16 - P1 Form 1
Devolped by
PUTTA SRINIVAS REDDY
98490 25860
cnureddyputta@gmail.com
www.putta.in
24280 PUTTA
80% Below
February
0 0 0
No Change 11%
0 0 0
21 to Dec, 21 Arrears
Total months
0
received/ bill Passed
Total months
0
received/ bill Passed
Y 2022-23
0 CPS 0
0 CPS 0
0 CPS 0
Old Regim
but not in "New Regim")
S and restore OPS
No Change -
No Change -
No Change -
d by Hand -
mridhi -
-
ce -
Interest
Not Satisied
6100 -
-
-
-
-
No Disable Dependent
by hand
Dec Jan Feb
m 16 - P1 Form 16 - P2
)
ome 391,841
xcemptions #N/A
me Rounded to
#N/A
1 Mar, 22 24280 4198 2671 0 150 0 0 0 0 0 0 31299 2848 1000 15 200 0 0 0 4063
2 Apr, 22 24280 4198 2671 0 150 0 0 0 0 0 0 31299 2848 1000 15 200 0 300 0 4363
3 May, 22 24280 4198 2671 0 150 0 0 0 0 0 0 31299 2848 1000 15 200 0 0 0 4063
4 Jun, 22 24280 4198 2671 0 150 0 0 0 0 0 0 31299 2848 1000 15 200 0 0 0 4063
5 Jul, 22 24280 4198 2671 0 150 0 0 0 0 0 0 31299 2848 1000 15 200 0 0 0 4063
6 Aug, 22 24280 4198 2671 0 150 0 0 0 0 0 0 31299 2848 1000 15 200 0 0 0 4063
7 Sep, 22 24970 4317 2747 0 150 0 0 0 0 0 0 32184 2929 1000 15 200 0 0 0 4144
8 Oct, 22 24970 4317 2747 0 150 0 0 0 0 0 0 32184 2929 1000 15 200 0 0 0 4144
9 Nov, 22 24970 4317 2747 0 150 0 0 0 0 0 0 32184 2929 1000 15 200 0 0 0 4144
10 Dec, 22 24970 4317 2747 0 150 0 0 0 0 0 0 32184 2929 1000 15 200 0 0 0 4144
11 Jan, 23 24970 4999 2747 0 150 0 0 0 0 0 0 32866 2997 1000 15 200 0 0 0 4212
12 Feb, 23 25690 5143 2826 0 150 0 0 0 0 0 0 33809 3083 1000 15 200 0 0 0 4298
Surrender Leave May,
22
12140 884 1578 0 0 0 0 0 0 0 0 14602 0 0 0 0 0 0 0 0
UNIFORM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Arrs FY 21-22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Arrs FY 20-21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Arrs FY 19-20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Children Tution Fee
Concession 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 314090 56261 35451 0 1800 0 0 0 0 0 0 407602 36639 12000 180 2400 0 300 0 51519
………………………………………………………………………………………………………………………………
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FORM No. 16
( Vide rule 31(1)(a) of Income Tax Rules, 1962 )
Certificate under section 203 of the Income-tax Act, 1961
for Tax deducted at source from income chargeable under the head "Salaries"
NAME AND ADDRESS OF THE EMPLOYER NAME AND DESIGNATION OF THE EMPLOYEE
Acknowledgement Nos. of all quarterly statements of TDS under sub-section 200 as provided by TIN Facilitation Center or NSDL web-site.
(The employer is to provide tranction - wise details of tax deducted and deposited)
Sl. TDS Surcharge Education Total Tax Cheque/DD BSR Code Date on Transfer
No. Rs. Rs. Cess Deposited No. (if any) of Bank Which Tax vocher/chalana
Rs. Rs. Branch Deposited Identification No
1
2
3
4
5
6
7
8
9
10
11
12
#N/A
Sign--
Place: PHC.Pebbair Signature of the person responsible for deduction of tax
Date: 4-Apr-2024 Full Name-- Dr,P.Rakesh Reddy
Designation- Medical Officer
This is to certify that Sri. Syed Burhan, OSB, PHC.Pebbair, Mandal Pebbair, District
Wanaparthy has paid an amount of Rs. 0/-Inwords: ((Zero rupees only) towards Annual House Rent
@ Rs. 0/- per month in respect of H.No. ____________ Located at
__________________________________, ________________________,
________________________. My PAN card number is ________________________.
Rs. 1/-
Revenue
Stamp
Sign--
Date : (House Owner)
________________________
S/o / H/o . ________________________
H.No. ____________
INCOME-TAX RULES, 1962
FORM NO.12BB
(See rule 26C)
1. Name and address of the employee: Sri. Syed Burhan, OSB, PHC.Pebbair
I, Syed Burhan, OSB, PHC.Pebbair do hereby certify that the information given above is complete and correct.
PHC.Pebbair
Particulars of income referred to in rule 21A of the Income Tax rules, 1962, during
the previous year relevent to Assessment Year 2021-22
Verification
I Syed Burhan, OSB do here by declare that what is stated above is true to the best of my knowledge and
belief. Verified today.
Place :
Date: 4/4/2024
Signature of the employe
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Annexure - I
(See item 2 of Form No. 10E)
3 Total income (as increased by salary received in arrears or advance) Rs. #N/A
Relief under section 89(1) [Indicate the difference between the amounts
8 Rs. #N/A
mentioned against items 6 and 7]
TABLE "A"
{See item 7 of Annexure I}
1 2 3 4 5 6 7
Total 1,362.00
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